| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $151.36 | $154.88 | $426.58 | |
Cigna
| Professional | $151.36 | $151.36 | $302.00 | |
Quartz
| Professional | $302.00 | $302.00 | $398.11 | |
Quartz
| Facility | $181.97 | $933.25 | $933.25 | |
United
| Professional | $478.63 | $478.63 | $478.63 |